{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,27]],"date-time":"2025-09-27T03:33:51Z","timestamp":1758944031838},"reference-count":27,"publisher":"BMJ","issue":"9","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Emerg Med J"],"accepted":{"date-parts":[[2012,8,29]]},"published-print":{"date-parts":[[2013,9]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>To determine and identify the characteristics and circumstances of femur fractures in ambulatory young children.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design and setting<\/jats:title><jats:p>Retrospective review of 203 ambulatory children, between 1 and 5\u2005years old, presenting with femur fractures to an urban paediatric hospital over a 10-year period. \u03c7<jats:sup>2<\/jats:sup>And Student's t test were employed for statistical analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The mean age was 36.6\u2005months, with 155 (76.2%) being male. The most frequent mechanism of injury was fall from a height (n=62, 30.5%). The highest number of injuries occurred in 2\u20133-year-olds. The most common history in 1\u20132-year-olds was stumbling on\/over something causing a fall. For 4\u20135\u2005year olds it was road traffic accidents. Other additional physical findings were infrequent (14.3%) and not suspicious of inflicted injury. Child protective services concluded three of the cases to be likely non-accidental, and four cases were inconclusive but requiring close follow-up. Of these seven children, six occurred in 1\u20132-year-olds. No distinguishing feature was noted in fracture type or location.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Femur fractures can occur with low velocity injury whether from a short fall or twisting\/stumbling injury in young healthy ambulatory children.<\/jats:p><\/jats:sec>","DOI":"10.1136\/emermed-2012-201547","type":"journal-article","created":{"date-parts":[[2012,10,5]],"date-time":"2012-10-05T01:37:29Z","timestamp":1349401049000},"page":"749-753","source":"Crossref","is-referenced-by-count":17,"title":["Characteristics of femur fractures in ambulatory young children"],"prefix":"10.1136","volume":"30","author":[{"given":"Louise","family":"Capra","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alex V","family":"Levin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew","family":"Howard","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michelle","family":"Shouldice","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2012,10,4]]},"reference":[{"key":"2024052700102433000_30.9.749.1","doi-asserted-by":"crossref","unstructured":"Cooperman DR Merten DF . 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